OrganizationActive
Prosthodontic Associates, PLLC
NPI 1164956694 · Dental Clinic/Center · Roseville, MN
Prosthodontic Associates, PLLC is a Dental Clinic/Center organization in Roseville, MN (NPI 1164956694).
Provider details
- NPI number
- 1164956694
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Jason Chong, Partner(651) 633-4914
- License
- D12653 (MN)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(70/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2233 Hamline Ave N
Suite 210
Roseville, MN 55113-5009
Phone: (651) 633-4914
Fax: (651) 633-5126
Street-level locationGet directions
Mailing address
2233 Hamline Ave N
Roseville, MN 55113-5009
Registry dates
- Enumerated
- 2017-04-11
- Last updated
- 2017-04-11
Frequently asked questions
- What is Prosthodontic Associates, PLLC's NPI number?
- Prosthodontic Associates, PLLC's National Provider Identifier (NPI) is 1164956694, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Prosthodontic Associates, PLLC?
- Prosthodontic Associates, PLLC is classified in the NPPES registry as Dental Clinic/Center (Ambulatory Health Care Facilities).
- Where is Prosthodontic Associates, PLLC located?
- Prosthodontic Associates, PLLC's practice location on file with NPPES is 2233 Hamline Ave N, Roseville, MN 55113-5009.
- What is Prosthodontic Associates, PLLC's phone number?
- The practice phone number listed in the NPPES registry for Prosthodontic Associates, PLLC is (651) 633-4914.
- Who is the authorized official for Prosthodontic Associates, PLLC?
- The authorized official listed on Prosthodontic Associates, PLLC's NPPES record is Jason Chong, Partner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Prosthodontic Associates, PLLC's NPI active?
- Yes — Prosthodontic Associates, PLLC's NPI (1164956694) is active in the NPPES registry as of the last update on 2017-04-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.